Individual
DR. JILL C JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6850 HILLTOP RD, SUITE 160, SHAWNEE, KS 66226-3532
(913) 745-2500
(913) 745-2506
Mailing address
7605 W 143RD TER, OVERLAND PARK, KS 66223-2332
(913) 486-6324
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60025
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100366300C
—
KS
Enumeration date
07/26/2006
Last updated
07/08/2007
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